J Acad Nutr Diet. 2019 Feb;119(2):225-241. doi: 10.1016/j.jand.2018.09.002. Epub 2018 Dec 13.
Dietitians in countries across the world have been implementing the Nutrition Care Process (NCP) and Terminology (NCPT) during the past decade. The implementation process has been evaluated in specific countries and in smaller international studies; however, no large international study comparing implementation between countries has been completed.
The aim of this study was to describe and compare the level of NCP/NCPT implementation across 10 countries.
A previously tested web-based survey was completed in 2017 by 6,719 dietitians across 10 countries. Participants were recruited through e-mail lists, e-newsletters, and social media groups for dietitians. Nondietitians were excluded through screening questions and targeted dissemination channels.
The main outcome of interest was the level of implementation of each of the four NCP steps. Differences in implementation between the NCP (process) and NCPT (terminology) were also measured. Differences between groups were assessed using Kruskal-Wallis test and Mann-Whitney U test. Multiple linear regression was used to assess relationships between the main outcomes and respondent demographic information.
Australia, New Zealand, and the United States had higher implementation rates compared with other countries surveyed. Awareness of the NCP was high in most countries (>90%) but lower in Greece (50%). All countries had a higher implementation level of the NCP (process) compared with the NCPT (terminology). Dietitians working with inpatients reported the highest implementation levels while those working in public health reported the lowest.
Dietitians in countries with more experience in NCP/NCPT implementation and a clear implementation strategy had higher levels of implementation. To achieve a successful NCP/NCPT implementation among dietitians, there is a need to promote the value of a standardized dietetic language together with the more easily implemented process. There is also a need to promote NCP/NCPT for all areas of practice, and develop strategic plans for implementation of the NCP and NCPT.
在过去十年中，世界各地的营养师一直在实施营养护理过程（NCP）和术语（NCPT）。已经在特定国家和较小的国际研究中评估了实施过程；然而，尚未完成比较国家间实施情况的大型国际研究。
本研究的目的是描述和比较 10 个国家的 NCP/NCPT 实施水平。
2017 年，通过电子邮件列表、电子通讯和营养师社交媒体群组，对来自 10 个国家的 6719 名营养师进行了一项先前经过测试的网络调查。通过筛选问题和有针对性的传播渠道排除了非营养师。
主要观察指标是每个 NCP 步骤实施的水平。还测量了 NCP（过程）和 NCPT（术语）之间实施的差异。使用 Kruskal-Wallis 检验和 Mann-Whitney U 检验评估组间差异。使用多元线性回归评估主要结果与受访者人口统计学信息之间的关系。
与调查的其他国家相比，澳大利亚、新西兰和美国的实施率较高。大多数国家（>90%）对 NCP 的认识较高，但希腊（50%）较低。与 NCPT（术语）相比，所有国家的 NCP（过程）实施水平都较高。与在公共卫生部门工作的营养师相比，与住院病人一起工作的营养师报告的实施水平更高。
在 NCP/NCPT 实施经验更丰富且实施策略更明确的国家，营养师的实施水平更高。为了在营养师中成功实施 NCP/NCPT，需要共同促进标准化饮食语言的价值以及更易于实施的过程。还需要促进 NCP/NCPT 在所有实践领域的应用，并制定实施 NCP 和 NCPT 的战略计划。
